Individual
DR. DAVID G.R. BALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4060 FOURTH AVE STE 440, SAN DIEGO, CA 92103-2183
(619) 298-8891
(619) 298-4997
Mailing address
1325 N. ROSE DR, STE 210, PLACENTIA, CA 92870-3800
(714) 961-5804
(714) 961-5809
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38051
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38051
MEDICAL LICENSE
AZ
01
—
C55497
MEDICAL LICENSE
CA
01
—
GW921Z
PTAN
CA
01
—
LL1421
MEDICAL LICENSE
NV
Enumeration date
03/16/2007
Last updated
03/07/2023
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